Brianna Shaw
School Psychologist
61 Woodside Rd
Riverside
, Illinois 60546-1974
Brianna Shaw
School Psychologist
61 Woodside Rd
Riverside
, Illinois 60546-1974
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Brianna Shaw
- 850 S Clark St Unit 611
- Chicago, IL
- Zip : 60605-1778
- Phone :
Second Address
- Brianna Shaw
- 61 Woodside Rd
- Riverside, IL
- Zip : 60546-1974
- Phone : (217) 416-5393
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 2382225 | IL |
National Provider Identifier
| NPI | 1023599958 |
|---|---|
| Provider Name | Brianna Shaw |
| First Address | Chicago, IL 60605-1778 |
| Second Address | Riverside, IL 60546-1974 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2018 |
| Last Update Date | 28/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.